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One of the out-patient rehabilitation alternatives for clients in Hughes battling with opioid dependence and addiction is called opioid maintenance therapy. Some clinics and doctors are certified to administer certain meds to opioid addicted people, many that are opioids themselves and are addictive. With low enough amounts the individual doesn't feel high and also does not experience acute cravings and is not experiencing opioid withdrawal. Methadone is the first medication tried for this reason, but there are a few more options to pick from.
Methadone is an opioid and is meant to be taken at an outpatient clinic certified to dispense the med, that is taken on a daily basis as a pill or liquid. The price of the drug is about $150 monthly. Buprenorphine is also an opiate based drug, and is in pill form often taken every other day. But unlike Methadone that can only be administered in highly structured clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is around three hundred dollars /month for the generic of the medication. There is also a version of buprenorphine that contains the ingredient naloxone, that is a drug which blocks the effects of opiates. Someone consuming this formulation, also known as Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and costs approximately $450 a month. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other drugs aforementioned it is an opiate blocker and isn't an opiate. A person has the choice to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents someone from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 a month.
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